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Individual

CLONES LANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 NE 167TH ST, MIAMI, FL 33162-3401
(305) 705-4575
(954) 914-7668
Mailing address
70 NE 167TH ST, MIAMI, FL 33162-3401
(917) 326-0201
(954) 914-7668

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME109718
FL
207V00000X
Obstetrics & Gynecology Physician
ME262606
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010761800
FL
Enumeration date
06/08/2011
Last updated
09/13/2024
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